g g g g g
OR MEDICAL ASSISTANTS 10TH EDITION
g g g g g
BY BONEWIT-WEST
g
,Chapter 01: The Medical Record
g g g g
Bonewit-West: Clinical Procedures for Medical Assistants, 10th Edition
g g g g g g g
MULTIPLEgCHOICE
1. Whichgofgthegfollowinggisgnotgagfunctiongofgthegmedicalgrecord?
a. Togprovideginformationgforgmakinggdecisionsgregardinggthegpatient’sgcare
b. Togdocumentgthegpatient’sgprogress
c. Togservegasgaglegalgdocument
d. Togshareginformationgbetweengmembersgofgthegpatient’sgfamily
ANS:g D
REF:gp.g2|gCAAHEPgCompetencyg(2015):gVI.4g
OBJ:g 1
2. Whatginformationgisgcontainedgingthegmedicalgrecord?
a. Healthghistorygreport
b. Resultsgofgthegphysicalgexamination
c. Laboratorygreports
d. Progressgnotes
e. Allgofgthegabove
ANS:g E REF:gpp.g2-
3|gCAAHEPgCompetencyg(2015):gVI.4gOBJ:g 2
3. ThegpurposegofgthegHIPAAgPrivacygRulegisgto
a. reducegexposuregofgpatientsgtogbloodbornegpathogens.
b. providegpatientsgwithgbetterNcU
onRtS
roI
lgN
ovGeT
rgtB
h.
egC
usO
egM
andgdisclosuregofgtheirghealthgi
nformation.
c. preventgthegpatient’sgrecordsgfromgbeinggcopied.
d. encouragegthegpatientgtogbecomegmoreginvolvedgingpreventiveghealthgcare.
ANS:g B
REF:gp.g4g|gCAAHEPgCompetencyg(2015):gIX.3g
OBJ:g 2
4. AllgofgthegfollowinggaregcharacteristicsgofgthegNoticegofgPrivacygPracticesg except:
a. WasgdevelopedgbygthegAmericangMedicalgAssociation
b. Mustgexplainghowgagpatient’sghealthginformationgwillgbegusedgandgprotectedgbygtheg
medicalgoffice
c. Mustgbegprovidedgtogeachgpatient
d. Mustgobtaingagsignedgacknowledgmentgfromgthegpatientgthatghe/sheghasgreceivedgang
NPP
ANS:g A
REF:gp.g4|gCAAHEPgCompetencyg(2015):gIX.3g
OBJ:g 2
5. Healthginformationginganygformgthatgcontainsgpatientgidentifiableginformationgisgknowngas
a. PHI.
b. NPP.
,c. OSHA.
d. HIPAA.
, ANS:g A
REF:gp.g4|gCAAHEPgCompetencyg(2015):gIX.3g
OBJ:g 2
6. IngwhichgofgthegfollowinggsituationsgdoesgHIPAAgnotgrequiregwrittengconsentgforgthegusegorgd
isclosuregofgprotectedghealthginformation?
a. Patientgreferralgtogagspecialist
b. Emergencygcaregprovidedgatgaghospital
c. Determinationgofgeligibilitygforginsurancegbenefits
d. Traininggofghealthgcaregstudents
e. Allgofgthegabove
ANS:g E
REF:gp.g4|gCAAHEPgCompetencyg(2015):gIX.3g
OBJ:g 2
7. Whichgofgthegfollowinggisgnotgangexamplegofgagmedicalgofficegclinicalgdocument?
a. Patientgregistrationgrecord
b. Physicalgexaminationgreport
c. Medicationgrecord
d. Healthghistorygreport
ANS:g A REF:gpp.g2-
3|gCAAHEPgCompetencyg(2015):gVI.4gOBJ:g 2
8. Whichgofgthegfollowinggisgnotgagcharacteristicgofgaglaboratorygreport?
a. Itgrelaysgresultsgofglaboratorygtestsgtogthegprovider
b. Itgconsistsgofgagreportgofgtheganalysisgorgexaminationgofgbodygspecimens
c. Itgassistsgingdiagnosinggandgtreatinggdisease
d. ItgisgagrequestgforglaboratoryNtU
esRtsStI
ogN
beGpTeBrf.
orCmOeM
dgbygangoutsideglaboratory
ANS:g D REF:gpp.g2-
3|gCAAHEPgCompetencyg(2015):gVI.4gOBJ:g 2
9. Whichgofgthegfollowinggisgangexamplegofgagdiagnosticgproceduregreport?
a. Electrocardiogramgreport
b. Physicalgtherapygreport
c. Urinalysisgreport
d. Pathologygreport
ANS:g A REF:gpp.g2-
3|gCAAHEPgCompetencyg(2015):gVI.4gOBJ:g 2
10. Whatgisgthegnamegofgthegtypegofgreportgthatgdocumentsgthegassessmentsgandgtreatmentsgd
esignedgtogrestoregagpatient’sgabilitygtogfunction?
a. Consultationgreport
b. Diagnosticgproceduregreport
c. Pathologygreport
d. Therapeuticgservicegreport
ANS:g D REF:gpp.g2-
3|gCAAHEPgCompetencyg(2015):gVI.4gOBJ:g 2
11. Whichgofgthegfollowinggisgnotgangexamplegofgaghospitalgreport?
a. Operativegreport